While benign prostatic hyperplasia (BPH) care has historically focused on immediate symptom management, often by way of long-term polypharmacy, leading urologists are now considering long-term bladder health when determining the most appropriate BPH treatment. In this episode of the BackTable Urology Podcast, Dr. Shawn West, a urologist practicing at McIver Clinic in Florida, discusses the contemporary management of BPH with host Dr. Jose Silva, emphasizing the newly appreciated role of first-line interventional therapy.

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This podcast is supported by:

Teleflex UroLift

https://www.urolift.com/

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SYNPOSIS

First, Dr. West delves into the initial patient consultation, diagnostic procedures, and the diverse treatment options for BPH including UroLift, GreenLight laser therapy, and Aquablation. Dr. West emphasizes the importance of individualized patient care, the role of objective symptom scoring systems, and the significance of setting realistic expectations for patients. The discussion also covers the benefits and challenges of different BPH treatments amidst the evolving landscape of minimally invasive urological procedures.

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TIMESTAMPS

00:00 - Introduction

03:59 - BPH and Voiding Dysfunction

10:21 - Patient-Centered Approach to BPH

19:46 - Diagnostic Workup for BPH

24:53 - Postoperative Catheter and Complications

25:02 - Aquablation

26:04 - UroLift

31:06 - Challenges with Median Lobes

41:02 - Postoperative Care

47:14 - Conclusion